Exam (elaborations)
MENTAL HEALTH ATI MASTERY QUESTIONS
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MENTAL HEALTH ATI MASTERY QUESTIONS
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MENTAL HEALTH ATI MASTERY QUESTIONSClinical finding of anorexia nervosa - ANS-Amenorrhea- what to look for?
Clinical finding of bulimia - ANS-Tooth erosion,
hand calluses,
hypokalemia
What causes parotid gland swelling - ANS-Increased serum amylase levels
What lab value would you expect to see in a client with alcoholic cardiomyopathy - ANS-
Increased CPK- enzyme released when tissue is damaged
Common behavior associated with dependent personality disorder - ANS-Needing
excessive external input from others to make everyday decisions
Characteristic of avoidant personality disorder - ANS-Difficulty starting new
relationships, unless he feels accepted. Are unwilling to get involved socially unless one
feels accepted.
What is part of healthy adolescent behavior - ANS-Exhibiting a realistic self-concept
What age group displays an egocentric approach to problem solving - ANS-Pre
schoolers
What age group demonstrates distrust of others - ANS-Infants
What is a common characteristic of autism spectrum disorder - ANS-Language delays
What disorder is associated with fears of abandonment - ANS-Separation anxiety
disorder
What places a client with schizo at greatest risk of self-directed injury or harm to others -
ANS-Command hallucinations
Example of active listening - ANS-Attention to body language (identifying verbal and
nonverbal communication)
How much percentage of weight loss must occur in order for a pt to be required
hospitalization - ANS-Over 30% within 6 months
What clinical finding of a pt with anorexia nervosa requires hospitalization - ANS-Temp
of 96.1 degrees - severe hypothermia due to loss of SQ tissue or dehydration
How offer should a pt in seclusion be offered food?
,( Prescribed haloperidol and seclusion, what should be included in plan of care?) - ANS-
Every hour
also document behavior every 15-30 min
vitals every 1 to 2 hrs;
keep communication w/client direct and brief;
obtain written Rx from HCP ASAP, typically within 15-30 min; HCP should review Rx
every 24 hr
What is an early indication of depression - ANS-Decreased social involvement
Signs of cocaine intoxication - ANS-Tachycardia, elevated BP, dilated pupils & agitation
Signs of heroin intoxication - ANS-Constricted pupils & decreased BP
Adverse effects of imipramine- for depression - ANS-Urinary retention, tinnitus, weight
gain & tachycardia, Tricyclic -Anticholergic Effect
Signs of PTSD & Priority action - ANS-Distressing dreams, difficulty concentrating &
exaggerated startle response, (not delusions and compulsions).
safety; making the client feel safe
What is a sign of lithium toxicity? Side Effects that cause patients to stop taking it? -
ANS-Coarse hand tremors- prevents them from doing ADLs.
What lab does a nurse need to evaluate for a pt taking risperidine - ANS-Blood glucose-
can cause DM to develop
What kind of foods should a pt on tranyclopromine avoid - ANS-Foods high in tyramine,
such as some cheeses, avocados, and bologna
Clinical findings of mild anxiety - ANS-Restlessness, irritability, nail biting & fidgeting.
Feels restless & irritable before taking exam. what level of anxiety?
Clinical findings of moderate anxiety - ANS-Tension, palpitations, increased HR &
diaphoresis
Clinical findings of severe anxiety - ANS-Difficulty sleeping, light headedness, nausea,
tremors & sense of impending doom
Clinical findings of panic anxiety - ANS-Hyperactivity, severe tremors & uncoordinated
impulsive behavior
Indication of complicated grief - ANS-Difficulty carrying on normal activities following a
loss. I feel so empty without my wife, its hard to get up every morning.
,What med should be prescribed to a pt experiencing alcohol withdrawals - ANS-
Chlordiazepoxide
What med should be prescribed to a pt to assist in alcohol abstinence - ANS-Disulfiram
Taking tranylcypromine. What is good food choice? - ANS-Roasted chicken
Hx of gambling dependence and participates in support group. What is the purpose of
attending the group? - ANS-Provide assurance that others have similar problems
Haloperidol what should be reported? - ANS-Shuffling gait
Autonomy - ANS-The right of self goverment
Discharged from inpatient detoxification program and plans to attend AA. What
statement indicates understanding of teaching? - ANS-I will use peer support to
maintain my abstinence
Bereavement support group, one member is silent after several sessions. What should
nurse do To encourage participation? - ANS-Divide the group into pairs to discuss topic,
then summarize the discussion to the group
Conduct disorder is being destructive , throwing things and kicking others. What
intervention is highest? - ANS-Use a therapeutic holding technique.
Exhibits anger, aggression and violent behavior, what is priority? - ANS-Create a large
personal space
Borderline personality disorder. Priority care goal? - ANS-The client will refrain form self
mutilation.
Situational crisis - ANS-The client recently lost grandparent in a MVA. unexpected
event, changes that results when a person faces an event or situation that causes a
disruption in his or her life.
Code of ethics for RN - ANS-The right to treatment ensures individualized care
Suspects abuse for an elderly client - ANS-Check the client for other sings and
symptoms of abuse
Valproic acid, what should be monitored to determine effectiveness of med? - ANS-The
client has decreased episode of pressured speech. Decreased insomnia, grandiose
thoughts, and hyperactivitiy.
, Bipolar client is bragging and dominating the conversion in group therapy. What should
the nurse do? - ANS-Tell the client to calm down or he will be dismissed form the
session.
What is expected with chronc stress? - ANS-Viral infection
Client wants to use herbals instead of pharmaceuticals. What classifications is the
medicine practice? - ANS-Alternative medicine
Client has lost 25lb in 3 months. She weighs 88lbs and states that she if fat. What is first
priority? - ANS-Identify the client's nutritional status.
Personality disorder and demonstrates manipulative behavior. What intervention should
be included in plan of care? - ANS-Institute consequences for manipulative behavior.
frotteurism - ANS-urges to touch and rub against non consenting individuals
exaple of enmeshed boundaries - ANS-children taking care of their younger siblings
what do you say if a pt becomes verbally abuseive - ANS-i am leaving now but returning
in a few minutes to see if you are calmer
which label worries us with clozapine - ANS-WBC of 2500
intervention for patient with delerium - ANS-permit the client daily rituals to decrease
anxiety
dont keep lighting dim (want to be able to see invironment)
dont give too man decisions because may get frustrated
teach about light therapy for SAD - ANS-wear sunglasses when go outside- bc light
therapy can cause eye strain and sensitivity to light
(dont need to increase fluids bc will not cause dehydration)
should you get a no suicide contract from a pt who recently attempted suicide and is
angry over being admitted - ANS-no- should wait til pt is no longer angry and you can
develop rapport first
so what should you do with this patient (just attempted suicide and is angry about
admission) - ANS-administer adntidepressant
1 to 1 observation
a client says about ECT "I will be able to stop taking my antidepressants after the tx" -
ANS-nope= sorry need maintenacne
planning teaching about relapse prevention to a client who just began an outpatient
substance use disorder tx program- what should you teach at the beginning - ANS-
simple rules and objectives or program (pt still may have cog impairment RT detix)
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